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South Dakota rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Facilitymedian $3 · 10th–90th $1–$80%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$390%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.16 / $5.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.74 / $22.91
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.37 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.74 / $3.39
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57